|
Cold agglutinin titer
|
$12.48 |
$12.48 |
$12.48 |
$48.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$143.97 |
$143.97 |
$143.97 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$46.61 |
$46.61 |
$46.61 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$529.82 |
$529.82 |
$529.82 |
$241.88
|
|
Collar cerv patriot adlt
|
$251.02 |
$251.02 |
$251.02 |
$153.57
|
|
Collar extrication adult univ
|
$273.11 |
$273.11 |
$273.11 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$235.11 |
$235.11 |
$235.11 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$235.11 |
$235.11 |
$235.11 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$44.37 |
$44.37 |
$44.37 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$2,241.96 |
$2,241.96 |
$2,241.96 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$2,241.96 |
$2,241.96 |
$2,241.96 |
$2,101.71
|
|
Colpocentesis 57020
|
$9,384.00 |
$9,384.00 |
$9,384.00 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$413.10 |
$413.10 |
$413.10 |
$326.30
|
|
Colposcopy vulva 56820
|
$360.57 |
$360.57 |
$360.57 |
$295.20
|
|
Colpotomy drng of abscess 57010
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$322.32 |
$322.32 |
$322.32 |
$173.25
|
|
Compatibility test each unit electronic
|
$432.99 |
$432.99 |
$432.99 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$446.25 |
$446.25 |
$446.25 |
$169.52
|
|
Complement antigen each component c3
|
$46.21 |
$46.21 |
$46.21 |
$111.15
|
|
Complement fixation each
|
$4.59 |
$4.59 |
$4.59 |
$24.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$995.52 |
$995.52 |
$995.52 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$797.64 |
$797.64 |
$797.64 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$797.64 |
$797.64 |
$797.64 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$777.24 |
$777.24 |
$777.24 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$755.82 |
$755.82 |
$755.82 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,309.68 |
$1,309.68 |
$1,309.68 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$797.64 |
$797.64 |
$797.64 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$558.96 |
$558.96 |
$558.96 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$777.24 |
$777.24 |
$777.24 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$2,692.80
|
|
Concentration infection agents any type
|
$297.84 |
$297.84 |
$297.84 |
$51.32
|
|
Condylomata destruction 56420
|
$851.19 |
$851.19 |
$851.19 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,143.29 |
$1,143.29 |
$1,143.29 |
$986.92
|
|
Connect omega .5mm
|
$2,417.40 |
$2,417.40 |
$2,417.40 |
$1,069.43
|
|
Connector tis 2x10mm
|
$6,529.91 |
$6,529.91 |
$6,529.91 |
$3,934.53
|
|
Consultation pathology during surgery
|
$351.90 |
$351.90 |
$351.90 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,900.26 |
$1,900.26 |
$1,900.26 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$97.41 |
$97.41 |
$97.41 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$548.25 |
$548.25 |
$548.25 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$240.72 |
$240.72 |
$240.72 |
$176.15
|
|
Consult comp w/report rfrd material
|
$307.53 |
$307.53 |
$307.53 |
$359.87
|
|
Contrast x-ray of elbow
|
$1,559.07 |
$1,559.07 |
$1,559.07 |
$637.14
|
|
Contrast x-ray of hip
|
$678.30 |
$678.30 |
$678.30 |
$768.00
|
|
Contrast x-ray of wrist
|
$796.62 |
$796.62 |
$796.62 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$18,418.75 |
$18,418.75 |
$18,418.75 |
$11,518.85
|
|
Controller infinity pt dbs
|
$9,394.20 |
$9,394.20 |
$9,394.20 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$2,181.78 |
$2,181.78 |
$2,181.78 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$2,181.78 |
$2,181.78 |
$2,181.78 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$2,181.78 |
$2,181.78 |
$2,181.78 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$925.14 |
$925.14 |
$925.14 |
$618.80
|
|
Control throat bleeding
|
$5,792.07 |
$5,792.07 |
$5,792.07 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$7,210.38 |
$7,210.38 |
$7,210.38 |
$4,661.80
|
|
Coombs direct
|
$85.17 |
$85.17 |
$85.17 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$87.72 |
$87.72 |
$87.72 |
$94.90
|
|
Coombs indirect titer reference
|
$547.74 |
$547.74 |
$547.74 |
$146.00
|
|
Copper intrauterine device
|
$3,115.60 |
$3,115.60 |
$3,115.60 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$15,969.12 |
$15,969.12 |
$15,969.12 |
$9,900.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$673.71 |
$673.71 |
$673.71 |
$489.00
|
|
Correct finger deformity
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,108.00
|
|
Correct rectal prolapse
|
$5,231.07 |
$5,231.07 |
$5,231.07 |
$3,722.88
|
|
Cortisol total am
|
$303.96 |
$303.96 |
$303.96 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$114.30 |
$114.30 |
$114.30 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$66.81 |
$66.81 |
$66.81 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$4,773.60 |
$4,773.60 |
$4,773.60 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$40.80 |
$40.80 |
$40.80 |
$58.61
|
|
#covid19rsv-rsv
|
$135.15 |
$135.15 |
$135.15 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$13.62 |
$13.62 |
$13.62 |
$65.36
|
|
C-peptide
|
$32.26 |
$32.26 |
$32.26 |
$100.00
|
|
C-reactive protein
|
$104.55 |
$104.55 |
$104.55 |
$63.00
|
|
C-reactive protein high sensitivity
|
$532.95 |
$532.95 |
$532.95 |
$91.65
|
|
C-reactive protein, quantitative
|
$36.21 |
$36.21 |
$36.21 |
$62.50
|
|
Creatine kinase
|
$336.09 |
$336.09 |
$336.09 |
$59.78
|
|
Creatine kinase isoenzymes
|
$26.69 |
$26.69 |
$26.69 |
$46.34
|
|
Creatine kinase mb
|
$287.64 |
$287.64 |
$287.64 |
$111.00
|
|
Creatine - sendout
|
$21.40 |
$21.40 |
$21.40 |
$39.00
|
|
Creatinine
|
$213.18 |
$213.18 |
$213.18 |
$44.10
|
|
Creatinine 24 hour urine
|
$135.66 |
$135.66 |
$135.66 |
$59.80
|
|
Creatinine clearance urine
|
$361.59 |
$361.59 |
$361.59 |
$87.50
|
|
#creutz-prot.,western blot
|
$56.57 |
$56.57 |
$56.57 |
$173.00
|
|
Critical care 30-74 minutes
|
$11,252.64 |
$11,252.64 |
$11,252.64 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,227.57 |
$1,227.57 |
$1,227.57 |
$777.00
|
|
Crotalidae poly immune fab
|
$3,595.83 |
$3,595.83 |
$3,595.83 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$267.75 |
$267.75 |
$267.75 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$23.97 |
$23.97 |
$23.97 |
$70.00
|
|
Cryptosporidium antigen
|
$56.61 |
$56.61 |
$56.61 |
$56.00
|
|
Crystal identification light microscopy
|
$176.46 |
$176.46 |
$176.46 |
$65.25
|
|
Csf shunt reprogram 62252
|
$563.55 |
$563.55 |
$563.55 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$1,932.90 |
$1,932.90 |
$1,932.90 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$10,965.51 |
$10,965.51 |
$10,965.51 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$10,965.51 |
$10,965.51 |
$10,965.51 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$11,077.71 |
$11,077.71 |
$11,077.71 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$9,072.39 |
$9,072.39 |
$9,072.39 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$15,680.97 |
$15,680.97 |
$15,680.97 |
$2,839.85
|
